Emergency visit, moderate (level 3) at Texoma Medical Center. CPT 99283.
What Texoma Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1,446cash price (self-pay)
$2,092list price
$66.56–$1,857range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior | Medicaid | $66.56 |
| Molina | Medicaid | $68.51 |
| Tchp Star | Medicaid | $68.51 |
| UHC Star Plus | Medicaid | $137 |
| Wellpt Amgrp Str Pls | Medicaid | $137 |
| Superior Hlth Str Pls | Medicaid | $140 |
| Molina Star Plus | Medicaid | $144 |
| Wellpoint Starkids | Medicaid | $152 |
| Oklahoma | Medicaid | $227 |
| Amerigroup | Medicaid | $230 |
| UHC Star | Medicaid | $230 |
| Superior Star | Medicaid | $234 |
| Tchp | Medicaid | $241 |
| Healthchoice | Managed_care | $346 |
| Aetna | Managed_care | $533 |
| Coventry_healthfirst | Managed_care | $544 |
| Blue_cross_blue_shield_of_tx | Qhp | $728 |
| Blue_cross_blue_shield_of_tx | HMO | $805 |
| Blue_cross_blue_shield_of_tx | PPO | $847 |
| Multiplan | Managed_care | $1,115 |
| Humana | Managed_care | $1,220 |
| Cigna | HMO | $1,262 |
| Healthsmart | Managed_care | $1,569 |
| UHC Exchange | Qhp | $1,734 |
| United_healthcare | Managed_care | $1,857 |
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